Physician

Prakash Shah, MD

According to 2025 Medicare claims, Prakash Shah, MD (NPI: 1902803513) practices internal medicine in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is PRAKASH SHAH MD (NPI: 1679753073; TIN: 611268010) and primary practice location at 42240-1981. Shah is affiliated with the Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 113 traditional Medicare patients, billed 786 HCPCS/CPT codes, and received $39,570 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,913 prescription claims across 199 beneficiaries totaling $406,217 in drug costs, led by Sotyktu (Deucravacitinib). DME data shows 56 claims. Open Payments data shows 14 records totaling $520. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $118,031 to $39,570. In contrast, Part D prescription costs have risen steadily, from $238,638 to $406,217. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $45,360 to $6,526.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	339	2,725	$118,031
2016	297	1,997	$96,605
2017	254	1,807	$88,020
2018	455	2,286	$96,843
2019	993	3,081	$103,158
2020	677	2,159	$79,029
2021	329	1,457	$66,739
2022	158	1,209	$57,184
2023	143	909	$46,953
2024	113	786	$39,570

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	326	4,392	$238,638
2016	330	5,522	$347,656
2017	285	5,172	$316,292
2018	227	4,924	$334,391
2019	219	4,873	$391,904
2020	255	5,022	$323,153
2021	263	4,874	$357,816
2022	239	4,573	$403,375
2023	207	4,072	$462,054
2024	199	3,913	$406,217

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	179	712	$49,488
2016	158	643	$31,853
2017	90	385	$10,838
2018	112	347	$15,537
2019	72	280	$10,334
2020	35	153	$5,151
2021	14	132	$4,225
2022	35	111	$4,374
2023	N/R	55	$2,301
2024	N/R	56	$1,773

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	201	$72
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	70	182	$57
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	55	$13
36415	Insertion of needle into vein for collection of blood sample	57	80	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sotyktu	Deucravacitinib	14	420	$94,224
Otezla	Apremilast	14	420	$66,985
Ozempic	Semaglutide	38	1,918	$39,353
Eliquis	Apixaban	38	2,032	$39,149
Linzess	Linaclotide	31	1,830	$32,475

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	19	$1,337
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	23	$223
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	14	$213

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$520	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Prakash Shah, MD?

Tedicare shows public-source Medicare data for Prakash Shah, MD (NPI 1902803513), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Prakash Shah, MD have ACO affiliation data?

Prakash Shah, MD is shown with ACO affiliation data for Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Prakash Shah, MD?

Prakash Shah, MD is linked to PRAKASH SHAH MD (billing NPI 1679753073) in the available physician profile data.

Does Prakash Shah, MD have Open Payments data?

Prakash Shah, MD has 14 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.